Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06721 | Date 22/10/2019 |
| Token No | SM/19-20/12189 22/10/2019 | Serial | 012 Last Visit: 30/09/2022 |
| Patient Name | Mr. SANKAR CHANDRA GUIN | Contact No | 9836859498 |
| Address | 346/A/50, G T ROAD , GODAR BAGAN CHATRA , BAIDYABATI(M) | Age | 81 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||